A pre-post evaluation of a digital intervention to improve psychosocial outcomes of caregivers of people living with cancer in Vietnam
- Author(s)
- Santin, O; Thi Ho, H; Bui, CL; Thi Nguyen, H; Ta, HQ; Tran, NT; Hoang, MV; Dang, THQ; Pham, TM; Pham, HN; Thi Chau, H; Nguyen, HTK; Vo, KV; Pham, TT; Dao, LHT; Ho, DX; Schofield, P;
- Journal Title
- Journal of Psychosocial Oncology
- Publication Type
- Online publication before print
- Abstract
- OBJECTIVES: To evaluate a co-designed intervention using digital resources "Vietnam Cancer Caring Coping" (V-CCC) on the health literacy, depression, and quality of life of caregivers supporting a cancer patient in oncology hospitals in Vietnam. METHODS: A pre-post quantitative evaluation with adult cancer caregivers across regional Oncology hospitals in Vietnam (Ho Chi Minh City, Da Nang, Can Tho, and Hue). Participants completed baseline and follow-up measures of health literacy (HLS-SF12) depression (PHQ-9) and Health-related Quality of Life (5Q-5D-5L). Participants accessed and reviewed V-CCC for a 2-week period. RESULTS: Two hundred and thirty-four caregivers completed pre and post-tests. Most participants were female (n = 143, 61%), married (n = 165, 70%), aged 18-44 (n = 155, 66%), lived rurally (n = 157, 67%). All health literacy scores of participants in post-intervention were significantly higher than that in pre-intervention across all domain's healthcare, disease prevention, and health promotion as well as the total score (p < 0.001). A significant reduction in the proportion of caregivers reporting PHQ-9 moderately severe/severe depression post-intervention was demonstrated (10.2 vs. 6.1%, respectively (p ≤ 0.001). No significant differences were observed pre and post-intervention across four 5Q-5D-5L health dimensions: mobility, self-care, usual activities, and pain/discomfort. Regarding anxiety/depression as measured by 5Q-5D-5L the proportion of participants who reported having moderate, severe, and extreme problems in pre- and post-intervention was statistically significant (32 vs. 24%), respectively (p = 0.0028). CONCLUSION: Co-designed digital resources can reduce health literacy inequities and improve psychological outcomes for cancer caregivers.
- Keywords
- cancer; caregivers; carers; depression; digital; health literacy; low-middle income; online; quality of life; support
- Department(s)
- Health Services Research
- Publisher's Version
- https://doi.org/10.1080/07347332.2024.2345115
- Open Access at Publisher's Site
https://doi.org/10.1080/07347332.2024.2345115- Terms of Use/Rights Notice
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Creation Date: 2024-09-03 07:46:52
Last Modified: 2024-09-03 07:49:20